Date of Award

Summer 8-9-2021

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Theresa M. Pape PhD, RN, CNOR-E, CNE

Second Advisor

Marjorie A. Kozlowski DNP, APRN, FNP-BC


Practice Problem: Breast cancer is the leading cause of death in Hispanic women in the U.S., with mammography being the most effective means of reducing breast cancer mortality. Promotoras have been shown to improve health promotion, including mammography, among the Hispanic population.

PICOT: The PICOT question that guided this project was: In Hispanic women 40 years or older (P), how does the use of a promotora intervention (I), compared to no promotora intervention (C), affect mammography rates (O) within an 8-week period (T)?

Evidence: Twenty-one studies that met the inclusion criteria supported the use of promotoras to improve mammography rates. Interventions included education and counseling, navigation assistance, providing a link to resources, and facilitating interaction with providers.

Intervention: A promotora was assigned to contact patients with a mammogram order to provide education, counseling, and other assistance needed.

Outcome: The intervention improved compliance with mammography rates by 37% over baseline. The results are clinically significant as the cost of the promotora intervention is minimal compared to the benefits of an early-stage diagnosis.

Conclusion: The implementation of this project was consistent with the research evidence supporting a promotora intervention to improve mammography rates in the Hispanic population.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.